Medical Requirement Specialist- EN

仕事内容

Job Description

Are you a people person with a knack for providing excellent customer service? Are you interested in working in a multilingual and friendly environment that encourages personal and professional development? Then we would love to meet you!

In this role as a Medical Requirement specialist the successful candidate will analyze the situation of a file and based on the policy wordings, medical declarations, claim costs and the corporate client expectations decide if further medical records from the facility or information from the claimants is required in order to make a claim decision. When information is needed you will coordinate the appropriate workflows or in some situations, reach directly to or claimants to organize the collection of missing documentation.

What does your typical day look like?

• Review the file to determine if GEM has enough medical information (PMH or MR) so that the file can proceed to have it medically evaluated. This consideration includes claim costs, underwriter requirements and the cause of the claimant’s claim;
• Ensure appropriate medical declarations are attached to the file;
• Identification and collection of required claim documents. Using claim requirements guidelines, identify missing documents required for a clean claim;
• Initiate workflows for collection of medical/claim documents. Specify the requirements for each request, including exact timeframes for medical documents, based on underwriter guidelines.

What skills and experience are we looking for?

• College Diploma or equivalent work experience;
• Intermediate level of computer proficiency with MS office suite;
• Demonstrate the ability to work in a dynamic, fast paced, changing environment;
• Highly organized with attention to detail and multitasking;
• Experience in the insurance and medical billing industry is an asset.
  

We offer you

What does Global Excel offer you?

• Global Excel offers more than just a position, we offer a professional future with a competitive compensation including base salary, performance bonus and a competitive vacation package;
• An extensive benefit package that includes health (100%), dental, life and travel insurance, as well as a retirement savings plan;
• A flexible and supportive work environment offering several benefits such as on-call doctors, on-site Bistro, and much more;
• A company wellness program that includes an on-site gym, opportunities to participate in fitness classes as well as discounts at local businesses;
• Many opportunities for advancement, development and financial assistance to employees who wish to continue their education.

To get a taste of the Global Excel life and for more information on our company, visit our Facebook page and website: